Register for the Computer Enrichment Program

Computer Enrichment Program

Affiliates >> RETA >> CEP>> Registration Form

'*' are required fields, however if you provide us with more information, it helps us to serve you better.
*Name:
*Address 1:
Address 2:
*City:
*State
*Zip/Postal Code:
*Parent or Guardian Name
*Home Phone:
*Emergency Contact
*Emergency Phone
*Name of School
*Classes of Interest	Microsoft Word MS Powerpoint Microsoft Excel Miscrosoft Access Hardware Upgrades Internet
*Do you have a computer at home?	YES NO If no, please tell us where you can access a computer from, for example school, library, etc:
*E-mail:


	About FBCDC \| Programs and Services \| Partners \| Get Involved \| New@FBCDC Join our newsletter \| Press Room \| Contact Us